finding purpose and meaning in residency · my only disclosure is that i am a baby doctor and have...

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Finding Purpose and Meaning in Medical Training KELSEY SCHMIDT, MD FAMILY MEDICINE RESIDENT

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Page 1: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Finding Purpose and Meaning in Medical TrainingKELSEY SCHMIDT, MDFAMILY MEDICINE RESIDENT

Page 2: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Disclosures

None My only disclosure is that I am a baby doctor and have much more

to learn then I have to share today

Page 3: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

vs

Cultivating knowledge and skills

Acquiring and practicing

Finding meaning and

purpose in our work

Experiencing and reflecting

Presenter
Presentation Notes
This process of developing meaning and purpose is essential for all health care professionals, whether or not they are in, or aspire to, formal leadership roles.” Robert Wood Johnson Foundation Clinical Scholars Program at University of Michigan Principle that if there is a strong why it is easier to learn the facts – memorizing a list vs seeing a patient and applying
Page 4: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Residency Education

Focus on resiliency and wellness Balint Group ARRIVE curriculum Mindfulness training

Resiliency training

Pathways- Community, Developmental Disabilities, Geriatrics, Global Health, Integrative Medicine, Maternity Care, Research, Rural Health, Sports Medicine, Women’s Health

Longitudinal community health projects Helping with medical school education Relationship building – internship buddies, chief residents, clinic mentors,

faculty mentors

How and Why

Page 5: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Resident Interests and Passions

“developing a street medicine outreach team for which I am currently a team physician. Working in free clinics and now "going to the people" has brought meaning to my journey and work by allowing me to take medicine beyond the walls of our medical system to those living on the streets”

Presenter
Presentation Notes
Pic is attached: Outreach guide, medical RN, me, mental health RN.
Page 6: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Resident Interests and Passions

“Participating in organized medicine on all levels such as the AMA, AAFP, and WAFP has helped me to realize how I can make systemic change on a policy level…Attempting to change the system for the better outside of my normal work hours rejuvenates my sense of purpose in medicine and why I am doing what I am doing”

“I tried to do as much sports medicine related activities whether it was PPE or covering athletic events or local races”

Presenter
Presentation Notes
In training when we are told where to be and when to be there, it is nice to have the flexibility to pursue my interests, work with people passionate about that topic, and actually see change be made. 
Page 7: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Quality Improvement

Page 8: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Patient Safety Yoda

Page 9: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Farmers Health

Page 10: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Plug for Rural Practice Small pilot study was published in July 2019 which showed lower

rates of burnout for family medicine doctors in rural settings

0

10

20

30

40

50

60

70

80

Rural Medium-size Metropolitan

Burnout Rates

Combined With OB Without OB

Page 11: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Mental Health Matters

Green County Coalition Started as a Community Health

Improvement Project Partnering with Southwest Wisconsin

Behavioral Health Partnership Have worked to develop a Mental

Health Navigator Position

Page 12: Finding Purpose and Meaning in Residency · My only disclosure is that I am a baby doctor and have much more to learn then I have to share today. vs Cultivating knowledge and skills

Thank You! Co-residents – Drs. James Ircink, Mehwish Moinuddin and Taylor Boland Drs. Martonffy, Carlson, and Hahn RHET Staff and Leadership Team Dr. Val Gilchrist Dr. John Beasley Lillian Hung, Lori DiPrete Brown & Sweta Shrestha Emmanuel Guzman, Blaire Bundy, Roberta Rusch, Dr. Tosha Wetterneck

ReferencesHogue, A & Huntington, Mark. (2019). Family physician burnout rates in rural versus metropolitan areas: a pilot study. South Dakota journal of medicine. 72. 306-309. Tsai, A, et al. (2017). Meaning and Purpose: Refocusing on the Why in Medical Education. NEJM Catalyst.https://cscrprojects.doit.wisc.edu/PatientSafety/#